Refills vs Sesame Care

Compare pricing, features, and medications to find the best GLP-1 provider for your weight loss journey

Refills vs Sesame Care: Overview

Choosing between Refills and Sesame Care for GLP-1 weight loss medication? Both are popular providers, but they differ in pricing, medication options, and service features.

Refills offers both semaglutide and tirzepatide at $150/month with a rating of 7.8/10. Sesame Care also provides both semaglutide and tirzepatide at $59/month with a 8.7/10 rating.

The price difference of $91/month is significant - Sesame Care is the more budget-friendly option, while Refills positions itself as a premium service.

VERIFIED

Our recommended brand

After reviewing all 148 providers on this platform, we've identified CoreAge Rx as offering the most transparent pricing model. At just $99/month — the same price every month, every dose — there are no surprise charges or hidden fees. Combined with exceptional service quality, personalized support, and access to both semaglutide and tirzepatide, it represents the best value without compromising on care.

At a glance

Price Difference
$91/mo
Rating Difference
0.9
Winner
Sesame Care
Best For
Budget

Refills

View full Refills review →
Rating
7.8/10
Monthly Price
$150
Medications
semaglutidetirzepatide

Pros

  • The largest verifiable review base of any provider in this batch: the Trustpilot profile for refills.com showed a 4-star TrustScore from roughly 1,244 reviews when we checked
  • No membership or app fees, stated as a headline promise: "Never Pay for Monthly Memberships or App Fees"
  • All dosages cost the same - "We don't charge you based on dosage changes" - which removes the titration price trap that catches most compounded GLP-1 patients
  • Both a GLP-1 (semaglutide-class) and a GIP + GLP-1 (tirzepatide-class) injectable are offered
  • A published phone number, 888-458-5061, and support@refills.com, with 24/7 health-concierge support advertised
  • Free and discreet shipping on every order
  • Unusually candid disclaimers: it states plainly that compounded drug products are not approved or evaluated by the FDA, and that Refills Health is not a medical services provider but a technology platform
  • It names its clinical partners - Beluga Health, Bask Health and Wasef Health - rather than referring vaguely to "our providers"
  • Certificates of Analysis are available on request for any batch
  • LegitScript certification is displayed

Cons

  • Pricing is quoted per day, not per month. "GLP-1s from $5/day" reads as cheap but is $150 a month, and the site never states a monthly figure
  • Refills is a technology platform, not a medical provider. It does not manufacture or dispense medication and does not employ the clinicians who prescribe
  • All prescription sales are final. State and federal rules do not allow returns of dispensed prescription medication, and once your card is charged and the package is handed to the carrier there is no refund
  • Returns are only accepted on unopened, non-prescription items within 30 days, and you pay the return shipping
  • It does not ship refrigerated products, which the returns page presents as a benefit ("your product will not be affected by increased transit time") but which is worth understanding before you order
  • The medication is compounded, so it has not been evaluated by the FDA for safety, quality or efficacy
  • Available across the US but explicitly not in the District of Columbia
  • Before/after testimonials headline losses of 40 to 120 pounds. The disclaimer that results are not typical is present but far less prominent than the numbers
Choose Refills

Sesame Care

View full Sesame Care review →
Rating
8.7/10Better
Monthly Price
$59Cheaper
Medications
semaglutidetirzepatideorforglipron

Pros

  • Publishes cash prices dose by dose, which no other provider on this site does. Zepbound KwikPen is $299/mo at 2.5mg, $398 at 5mg, $499 at 7.5mg and $698 at 10-15mg, so you can see exactly what titrating up will cost before you start
  • The same detail applies across the range: Wegovy pill $149/mo (1.5mg, 4mg) or $299 (9mg, 25mg); Wegovy pen $199 for the first two months for new patients then $349; Foundayo from $149 to $349 depending on dose (checked July 27, 2026)
  • Every medication offered is FDA-approved and branded - no compounded product is involved
  • Insurance is accepted, and with coverage medication can drop to as low as $25/mo
  • The care programme itself - video visits, dedicated provider, labs and messaging - starts at $59/mo
  • Efficacy milestones are properly sourced, citing a study of injectable semaglutide 2.4mg with the population spelled out (BMI 30+, or 27+ with a weight-related condition, non-diabetic) and paired with lifestyle change
  • A full refund is available if you cancel at least three hours before your first visit
  • The wider marketplace lets you compare individual providers on price, with appointments from $37

Cons

  • The $59/mo headline depends on a 12-month 'Success by Sesame' commitment, and the annual fee is explicitly non-refundable once paid - cancel in month two and you do not get the remaining ten months back
  • Medication costs are not included in the programme price, which Sesame states plainly but which means the real monthly outlay is the subscription plus the drug
  • Cash prices escalate steeply with dose. Zepbound more than doubles from $299 to $698 as you titrate to a maintenance dose, so the entry price is not the price you will end up paying
  • The Wegovy pen intro rate of $199 applies to new patients only and for two months, after which it is $349
  • Monthly subscribers are not refunded for months already paid, even if unused
  • Because pricing depends on insurance status, pharmacy and dose, there is no single figure you can plan around before signing up
  • This is a general healthcare marketplace, so the weight-loss programme sits alongside urgent care and prescription refills rather than being a dedicated speciality service
Choose Sesame Care

Feature-by-feature comparison

FeatureRefillsSesame Care
Monthly Price$150$59
Rating7.8/108.7/10
Medicationssemaglutide, tirzepatidesemaglutide, tirzepatide, orforglipron
Insurance AcceptedNoYes
Support HoursCompany advertises free 24/7 support from a health conciergeNot published
Live ChatNoNo
Free ShippingYesNo
Shipping SpeedFree shipping; non-refrigerated products shipped via USPS, FedEx or UPSFilled at your pharmacy; not shipped by Sesame
Mobile AppNoAvailable
Dedicated CoachNot includedIncluded
Follow-up FrequencyProviders reassess and adjust dose, titration pace or treatment on requestOngoing video visits, labs and messaging with a dedicated provider
Money-back GuaranteeNone. All prescription sales are final once dispatchedFull refund if you cancel at least 3 hours before your first visit; annual fees are non-refundable once paid
Cancellation PolicyYou can log in and cancel your subscription, change your address or change your payment method any time before the order is sent to the pharmacySelf-cancel monthly or annual subscriptions any time, but past months and annual fees are not refunded

Which should you choose?

Choose Refills if you:

  • Value: the largest verifiable review base of any provider in this batch: the trustpilot profile for refills.com showed a 4-star trustscore from roughly 1,244 reviews when we checked

Choose Sesame Care if you:

  • Want to save $91/month with a more affordable option
  • Prefer a higher-rated service (8.7/10 vs 7.8/10)
  • Want more medication options to choose from
  • Need insurance coverage for your treatment
  • Want personalized coaching support included
  • Value: publishes cash prices dose by dose, which no other provider on this site does. zepbound kwikpen is $299/mo at 2.5mg, $398 at 5mg, $499 at 7.5mg and $698 at 10-15mg, so you can see exactly what titrating up will cost before you start

Website previews

Refills

Refills website

Sesame Care

Sesame Care website

Our recommendation

Sesame Care comes out ahead with a higher rating of 8.7/10. It also provides multiple medication options including both semaglutide and tirzepatide.
Get started with Sesame Care

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